Skip Navigation LinksHome > October 2013 - Volume 25 - Issue 5 > Lichen sclerosus in children and adolescents
Current Opinion in Obstetrics & Gynecology:
doi: 10.1097/GCO.0b013e328363a53c
ADOLESCENT AND PEDIATRIC GYNECOLOGY: Edited by Paula J. Adams Hillard

Lichen sclerosus in children and adolescents

Dendrinos, Melina L.; Quint, Elisabeth H.

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Abstract

Purpose of review

This review of lichen sclerosus in children and adolescents will discuss the disease and highlight the most recent literature.

Recent findings

Lichen sclerosus continues to be poorly recognized and misdiagnosed by clinicians. There is growing support for an autoimmune component in the cause of this disease. Recent studies confirm that lichen sclerosus does not resolve after puberty but usually improves. In small case series, topical calcineurin inhibitors are effective as second-line therapy.

Summary

Lichen sclerosus is an uncommon, poorly recognized disease in girls and adolescents and is likely to have a chronic course requiring long-term follow-up and treatment. There needs to be increased awareness among providers of this disease as a cause of vulvar itching. Because of the lack of knowledge of the natural course and treatment outcomes, prospective, multicenter studies are needed.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

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